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Homestead_Overfield al\TE IORM!)!M12„-04I IREAN[ER FORMStA AIr0.T'En DT mu.Bnm°D Ili Ysv..r'.9x PREIRtBm BY MI DEPARTMENT(*LOCAL GOVERNMENT FINANCE IC6-L1.ra.I Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than net for homestead fraud homestead fraud causes higher tax bills for all:therefore. HEA 1344-21)09 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the benefit and to provide additional identifying information necessan'to allow county government to better monitor horesead filings.This information will he kept confidential and can only hr accessed by authorized county official..The ITLTannrem of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Overfield, Nettie 904 S Lincoln FORT 13RANCI I IN 47648 2965 Nettie Overfield 904 S Lincoln State Parcel Number Le¢a1 Description FORT BRANCH IN 47648-1722 I I II III I II I III I I I I I II I ' III 26-19-19-103-000.585-026 011-0058500 LOWES 2ND ADD 34/35PT t o ur t ul n n uu nr u t n t un u t r t This form MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. PART 2:TAXPAYER INFORMATION Owner I First Middle Last NE -r - i g F1ELd •ng Address(number and stray.city,state,and ZIP code) 1 © Same as property address q09 C., LIA)CZ1./ -MO RA P,piaa . i,f) L/71 Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) [] Same as property address Social Security Number(last 5 digits) I DaivxYS License/State ID Number (last 5 digits) Other(please specify in Part 4 below) stogy_ PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eligible to receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or she may be liable for back taxes and substantial financial penalties. Owner I Signature //^ Date • E-''� ; CLAIM FOR HOMESTEAD PROPERTY TAX. ,� ;��'� CREDITISTANDARD DEDUCTION `,.�,,;�� State Form 5473 (R2/5-92) �eu - INSTAUCTIONS: See reverse side lor filing instructions. - - -- � rcereirnr�nu e� YEAR �c;`� _ _ �S `JAId 1- 1995 � ^ ��e� � "�� AUDI I UK ° � I(We) /��t,Q� l� �� 0�1 0 ��VZ./Ll4-�R.J�R certify that on ihe 7 si day of March. 7 �� occupied as our principal place of residence the following described real p perty for which a Homesiead Property Tax Credit is hereby claimed: I (We) owned ❑ Are buying under contract . � ❑ Have a beneficial inierest in the entity that is liable for ihe property taxes on the property and ihat owns ihe property or is buying under a contract. It 6uying on contracC Fee Simple ownels name Coumy CONTRACT PROPERTY DESCRIPTION T�ing district (ciry, tawn, lownship) number � Page number Legal description ,�P 1- Cn0 5�� Ov ,�XCrt.cJt�- � n� C�� .3�(/3S,A-�" artion of the residential simcture or the lantl not ezceeding one (1) acre Ihat immediatety surrounds Iha[ SWCWre is usetl to produce income, deuribe ihe use and portion imperty utilized to produce inmme. � PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES � Township Counry Township eby certify ihe above statements are irue, correct and complete. Atldress (num6erandSbeeC Gry, 5tate, ZIPa�de) ASSESSOR USE ONLY TRUE TAX . ASSESSED HOMESTEAD NON-RESIDENTIAL VALUE VALUE VALUE VALUE � - Land not exceeding 1(one) acre immediately surrounding residential improvemenis. (�) � Otherland (p) Total land (line 1 plus line Z� (3) Dwelling (4) � � Residential improvements Garage (5) -� Other impmvements (6) Total improvements (line 4 through line � (7) 7otal value Qine 3 pbs line 7) (g� I hereby tertify the abOVe is true, torreCt, and Sgnature of Assessor Date signed complete. Veritying adion - Signamre ot Auditor Dare signetl I 19_Pay19_ Lesser of 1/2 Homesiead Valuation or 52,000 DEDUCTiON ALLOWANCE S signetl �